Employers advertising internal medicine jobs on PhysEmp are offering an average of $264,000 to $305,000 a year, based on the 489 of 1,395 active internal medicine listings that disclosed pay. Data pulled October 1, 2026, from live job ads on PhysEmp. Updated quarterly.
Why this is different: these figures come from salaries employers posted in live job ads on PhysEmp this quarter, not from surveys or self-reported pay. They show what employers are offering right now, before bonuses and negotiation.
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Internal medicine pay at a glance
| Specialty | Active listings | Listings with pay | Posted range | Average posted range |
|---|---|---|---|---|
| Internal medicine | 1,395 | 489 | $125,000 – $873,600 | $263,915 – $304,952 |
| Hospitalist | 497 | 72 | $210,000 – $680,160 | $322,282 – $349,859 |
| Family medicine | 2,644 | 749 | $120,000 – $700,000 | $259,763 – $292,544 |
| Med-Peds | 79 | 14 | $200,000 – $350,000 | $239,071 – $279,836 |
Hospitalist listings pay the most of this group, averaging about $58,000 more on the low end than internal medicine listings. Internal medicine edges out family medicine by roughly $4,000 to $12,000.
Highest-paying states for internal medicine
States with at least five internal medicine listings that disclosed pay, ranked by the low end of the average range:
| State | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| North Dakota | 12 | 8 | $333,750 |
| South Carolina | 31 | 10 | $308,400 – $328,400 |
| North Carolina | 44 | 7 | $307,143 – $314,286 |
| Wisconsin | 20 | 6 | $300,667 – $384,000 |
| Minnesota | 13 | 5 | $294,800 – $309,800 |
| Alabama | 21 | 11 | $280,909 – $312,727 |
| Texas | 86 | 19 | $279,947 – $299,684 |
| Florida | 105 | 21 | $275,381 – $305,857 |
| Nevada | 9 | 5 | $271,200 – $391,000 |
| California | 185 | 114 | $270,805 – $307,682 |
Lowest-paying states for internal medicine
| State | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| New Jersey | 28 | 21 | $228,976 – $344,271 |
| Massachusetts | 69 | 23 | $231,913 – $272,174 |
| Maryland | 19 | 5 | $237,000 – $249,000 |
| New York | 105 | 81 | $238,889 – $276,420 |
| Colorado | 26 | 11 | $239,273 – $310,091 |
| Virginia | 29 | 7 | $243,571 – $257,857 |
| Indiana | 40 | 5 | $246,000 – $266,000 |
Vermont’s two disclosed listings average $522,520 to $556,800, too few to rank. New Jersey has the widest spread, so where a job falls in that state depends heavily on the employer. Michigan (23 listings) and South Dakota (21) posted no pay at all.
How internal medicine pay has moved in 2026
| Data pulled | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| October 1, 2026 | 1,395 | 489 | $263,915 – $304,952 |
| July 1, 2026 | 1,523 | 470 | $263,624 – $303,888 |
| April 1, 2026 | 1,523 | 450 | $259,886 – $298,120 |
Average posted pay is up about $4,000 on the low end and $7,000 on the high end since April. Open internal medicine jobs fell by about 130 over the same period, while more employers posted pay.
Common questions
How much do internal medicine physicians make?
Internal medicine jobs posted on PhysEmp in October 2026 offer an average of $264,000 to $305,000 a year, with individual offers ranging from $125,000 to $873,600.
Do hospitalists make more than internists?
Yes, in posted pay. Hospitalist listings on PhysEmp average $322,000 to $350,000, compared with $264,000 to $305,000 for internal medicine listings.
Which states pay internal medicine physicians the most?
Among states with at least five salary disclosures, North Dakota, South Carolina and North Carolina post the highest averages, all starting above $307,000.
How these numbers are calculated
PhysEmp pulls every active internal medicine job ad on the site at the start of each quarter. Salary figures come only from ads where the employer posted pay. The average posted range is the average of the low and high ends of those posted ranges. Full-time and locum listings are combined. Figures are employer-posted and not independently verified.
Last updated October 2026. Next update January 2027. All specialties in the PhysEmp Salary Report →